Get Application For Renewal/late Renewal Form - Dshs State Tx

This guide provides a comprehensive overview of how to accurately complete the Application For Renewal/Late Renewal Form for the Dshs State in Texas. Following these instructions will help ensure that your application process is smooth and efficient.

Follow the steps to fill out the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the Application For Renewal/Late Renewal Form and open it in the associated digital editor.
2. Enter your certificate number in the designated field to identify your certification.
3. Fill in your full name, ensuring it matches the name on your original certification.
4. Provide your mailing address, including street, city, state, and ZIP code, to ensure you receive any correspondence.
5. Input your phone number in the specified area for any necessary communication.
6. Complete the social security number field, which is a required entry.
7. Input your date of birth in the format requested to verify your identification.
8. If applicable, update your primary place of employment by providing your employer's name and address.
9. Answer the question regarding any criminal convictions, marking 'YES' or 'NO' as appropriate. If you answer 'YES', be prepared to attach any necessary documentation.
10. Respond to the continuing education requirement question, again marking 'YES' or 'NO'. If chosen for audit, you must be ready to submit your CE certificates.
11. If your name has changed since your last renewal, ensure you submit the legal documentation for the name change.
12. Review all the information filled in for accuracy and completeness. Make any necessary edits.
13. Once all fields are completed and reviewed, save the changes to your form. You can then download, print, or share the form as needed.

Complete your Application For Renewal/Late Renewal Form online today for a hassle-free renewal process.